Aging Inmates Suicidal Ideation and Depression (Aging INSIDE) Study

老年囚犯自杀意念和抑郁（内部老龄化）研究

基本信息

批准号：
9900866
负责人：
LISA C BARRY
金额：
$ 39.88万
依托单位：
UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-06-01 至 2022-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9900866
关键词：
Activities of Daily Living Address Affect Age Aging Area Bioethics Biometry Cells Cognition Communities Competence Connecticut Data Detection Elderly Ensure Environment Environmental Risk Factor Epidemiologist Ethics Feeling suicidal Foundations Fright Geriatric Psychiatry Geriatrics Goals Health Healthcare Hispanics Housing Imprisonment Individual Intervention Knowledge Longitudinal Studies Mediating Medical Medicine Mental Depression Mental Health Mental disorders Moods Neuropsychology Participant Perception Performance Pharmaceutical Preparations Physical Capacity Physical Function Pilot Projects Population Prevention Prisons Public Health Research Research Design Research Personnel Rights Risk Risk Assessment Risk Factors Risk Reduction Safety Sampling Security Severities Social support Source Specificity Suicide Suicide prevention Symptoms Syndrome System Theft Time Violence Vulnerable Populations Walking Work aging in place base clinically significant depressive symptoms disability experience follow-up frailty innovation modifiable risk multidisciplinary offender professional atmosphere public health relevance recruit suicidal risk suicide rate symptomatology theories

项目摘要

DESCRIPTION (provided by applicant): The U.S. prison population is aging; increasing numbers of older adults are being incarcerated and even more are aging "in place." Older (age >50) inmates are the fastest growing segment of the prison population and have the system's highest suicide rates. Pilot study data from 146 older inmates in 3 Connecticut state prisons (56% White, 28% Black, 9% Hispanic, 6% Other; ages 50-83) supporting this application indicate that older inmates are likely to experience depression and suicidal ideation (SI) - each a strong predictor of suicide among those living "on the inside" and in the community. These data also show that "conventional" factors associated with increased suicide risk in mixed-age inmate samples, such as time served or single-cell housing, appear less relevant for older inmates. Instead, "geriatric" considerations indicating diminished physical capacity, including decreased activities of daily living (ADLs) and physical vulnerability or frailty, may assume a far greater importance in identifying older inmates at risk of depression and SI. Furthermore, prison is a unique place to age. Inmates may fear for their safety or have privileges revoked due to facility-wide lockdowns. There are also ADLs specific to prison (prison ADLs or PADLs) including climbing on/off the top bunk and walking to chow. The goal of this research, the Aging Inmates' Suicidal Ideation and Depression (Aging INSIDE) Study, is to determine how physical capacity and unique demands of the prison environment may impact older inmates' likelihood of experiencing depression and SI, focusing on two questions: Are geriatric factors that indicate diminished physical capacity useful for identifying older inmates at increased risk of experiencing depression and SI? Do environmental factors unique to prison affect change in one's physical capabilities over time, ultimately impacting older inmates' likelihood of experiencing depression and SI? Aging INSIDE will answer these questions by using a longitudinal study design and by recruiting a sample of 250 sentenced inmates age >50 from 10 Connecticut state prisons, collecting data at baseline and 12 months from complementary sources (self- and performance-based assessments, medical chart review, offender-based data). In the short term, findings from Aging INSIDE will inform risk assessment and detection of depression and SI in older inmates, a highly understudied and rapidly growing segment of inmates with high suicide rates. In the longer term, knowledge gained will help determine an optimal point of intervention (e.g., onset of PADL disability or frailty) and opportunities for prevention (e.g., accommodations for disability) of still modifiable risk factors among older inmates. By considering the influence of the unique prison environment on older inmates' individual physical capacities, Aging INSIDE pushes the state of suicide-related research in prison towards more individualized risk reduction and prevention. Finally, Aging INSIDE is also innovative as it focuses on older inmates; a vulnerable and largely understudied population concentrated in a challenging setting for conducting research. We have included an ethical consultant to ensure protection of study participants' rights.

描述（由申请人提供）：美国监狱人口正在老龄化；越来越多的老年人被监禁，甚至更多的老年人（年龄 > 50 岁）是监狱人口中增长最快的部分。该系统最高自杀率的试点研究数据来自康涅狄格州 3 所州立监狱的 146 名老年囚犯（56% 白人、28% 黑人、9% 西班牙裔、6% 其他；年龄） 50-83）支持这一应用表明，老年囚犯可能会经历抑郁和自杀意念（SI）——这两者都是生活在“内部”和社区中的人自杀的有力预测因素。这些数据还表明“传统”。在混合年龄的囚犯样本中，与自杀风险增加相关的因素，例如服刑时间或单间牢房，似乎与老年囚犯不太相关，相反，“老年”因素表明身体能力下降，包括日常生活活动能力下降。和身体上的脆弱性或脆弱性，可能会假设很远此外，监狱是一个独特的老年场所，囚犯可能会担心自己的安全或因监狱范围内的封锁而被剥夺特权。或 PADL），包括爬上/爬下上铺和步行去吃饭。这项研究，即老年囚犯的自杀意念和抑郁（内部老化）研究，是确定身体能力和抑郁程度如何。监狱环境的独特需求可能会影响老年囚犯患抑郁症和 SI 的可能性，重点关注两个问题：表明身体能力下降的老年因素是否有助于识别患有抑郁症和 SI 风险增加的老年囚犯？随着时间的推移，监狱会影响一个人的身体能力的变化，最终影响老年囚犯患抑郁症的可能性，而 SI Aging INSIDE 将通过使用纵向研究设计并招募 250 名年龄 > 50 岁的被判刑囚犯作为样本来回答这些问题。康涅狄格州 10 所州立监狱，从补充来源（基于自我和绩效的评估、医疗图表审查、基于罪犯的数据）收集基线数据和 12 个月的数据。在短期内，Aging INSIDE 的调查结果将为风险评估和检测提供信息。老年囚犯中抑郁症和 SI 是一个研究不足且增长迅速的高自杀率囚犯群体。从长远来看，获得的知识将有助于确定最佳干预点（例如 PADL 残疾或虚弱的发生）和机会。通过考虑独特的监狱环境对老年囚犯个人身体能力的影响，Aging INSIDE 推动监狱中与自杀相关的研究更加个性化。最后，Aging INSIDE 也具有创新性，因为它关注的是老年囚犯；我们在开展研究的环境中加入了一名道德顾问，以确保保护研究参与者的权利。